Active NPI
Kimberly E. Smith-Hargrove, PT
- Physical Therapist
- Columbus, GA
National Provider Identifier
1841233962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008558
- Practice address
- 6262 Veterans Pkwy
Columbus, GA 31909-3540 - Phone
- (706) 324-6661
- Fax
- (706) 494-3201
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH4492 | AL | |
| Physical Therapist | 225100000X | PT008558 | GA | Primary |
Addresses
Primary practice location
6262 Veterans Pkwy
Columbus, GA 31909-3540
Mailing address
PO Box 370
Fortson, GA 31808-0370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
522 N Ctr St
Thomaston, GA 30286-3695
Phone (706) 646-4371
6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 324-6661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH4492 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hughston Clinic, PC | Current | Accepting new patients | |
| Hughston Clinic, P.C. | Current | Accepting new patients | |
| Orthopaedic Specialists of Alabama, PC | Past | Accepting new patients | |
| Orthopaedic Specialists of Alabama PC | Past | Accepting new patients |
Locations
6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434
6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071
Interoperability endpoints
- kimberly.hargrove.1@321.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Columbus, GA
- NPI 1164461190
-
- Durable Medical Equipment & Medical Supplies
- Newnan, GA
- NPI 1902682347
-
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1831133586
-
- Orthopaedic Surgery Physician
- Talladega, AL
- NPI 1275843492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1841233962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"fax_number": "706-494-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 VETERANS PKWY",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319093540",
"telephone_number": "706-324-6661",
"fax_number": "706-494-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-HARGROVE",
"first_name": "KIMBERLY",
"middle_name": "E.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH4492",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.